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F,11 UU I4 tItEYrs4j SAN�JOAQUIN COUN"IY � <br /> 3 'PUBLIC HEALTH SEKVICF,s f �!!�✓�+�. � <br /> ENVIRONMENTAL IIEALTII DIVISION <br /> I'7JBLIC RECORDS RELEASE APPLICATION <br /> APPI.iCANT <br /> e_ <br /> -NO PHONE NO <br /> ADDRESS <br /> AGENCY NAME CWZ Gn a -50C/cr P ONB N4 <br /> ELL Ap2ms <br /> LSAb^AGEI~1CY I� <br /> e s A /t3e7 <br /> 7 w r+r► ^� t1/ d- /felt + G/iii a-!3-� 'i' y <br /> je <br /> SV L74 tA J' <br /> � ��3 3 �� helm r�►� �t1� .� -���1-•- ...... :I _ . <br /> HIS^ NOTICE IS SUWECr TO THS REQUIREMENTS- IDENTIFIED THE PUBLIC t{ <br /> TlI�AL.i'H::T4' <br /> SER VICESVENVIRONMENTAL14EAJ TH DIVISION Mid)POLICY 094-007. ORDINANC6CODS' F SAN :_'` <br /> JOAQUIN COUNTY, END'FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATmllCODE,.::.�._ , <br /> GOVERNMENT CODE AND THE EVIDENCE COD):. <br /> 1. -A MAXIMUM OFTEN (19)MG)AISS ADDRESSES ppt:a�QU�r I <br /> 2. PUBLtc FILESfRECORDS it6VIEW t9 sY ArPOINTMg ONLY.'APP0; t MENDS AR8 ARItA.I0M I3Y <br /> CALLING (2.09)468-0340, OFMIL Fiouss rOR AhPOtI1i7NETi7s JIRH: 8C11l dVLEU .MONDAY 'TII$tu[I FRIDAY <br /> EXCLUDING HOLIDAYS,8:0D AM TO 17--M NOON A"`DA.*W PM TQ,4. <br /> 3. 11.PUBLIC RScaROS RsusmE APtn tcArtom_(PRRA)is REQutRts'd. <br /> 4, Punuc FILES/RECORDS mor RmRNm- IN THE$AMOLaMl)=N AS ItriMVfiO WILI, BE CO RECTW <br /> I;'? 71t� I'si1D STAFIr AT-ma fiXPB1 sa OF Ttir APPLICANT .TI1IS'AIID€t7ONAL3ERVICE WILL Be-I3I TO fHs <br /> APPLICANT FOR PATMF..n- (5tia END POLICT 94-W7) t i <br /> f <br /> S. ORIo NAL Punt RL VRECORDS 811ALL Nar eE itmwovE)FRom Tm END MEMISEiS. = _ <br /> SIGNATURE OF APPUCANT ;-. DATE <br /> SIGNATUIRE OF RELPASIN43 OM- CIAL DATE <br /> No PNSIEHD RficoRvWFILm Am IDomptEu: <br /> xswf w" Ni <br /> PHSI&HD RomRDWF711.63 WUTr ON r119 ADDRESS(as)wnw. You wiLL 8It NOTIF m WHEN <br /> RECORDIfFILCS-ARE AVAILABUC FOR REVIEW: . <br /> ML 2 5 1994 H <br />